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Organization
TEACHING FENIX CAFE
Active
Organization
TEACHING FENIX CAFE
Active
Parent organization
CYNTHIA L LOPEZ-PETTORINO SOLE MBR
Organization subpart
Yes
Provider details
NPI number
Legal business name
CYNTHIA L LOPEZ-PETTORINO SOLE MBR
Authorized official
MS. CYNTHIA L LOPEZ-PETTORINO RDN, CDE (OWNER, PROVIDER, SINGLE MEMBER LLC)
(973) 206-2130
Entity
Organization
Contact information
Practice address
100 ENTERPRISE DR STE 301, ROCKAWAY, NJ 07866-2129
(973) 206-2130
(973) 385-1650
Mailing address
ROXBURY MALL 275 ROUTE 10 EAST,, SUITE 220 (PMB #181), SUCCASUNNA, NJ 07876
(973) 206-2130
(973) 385-1650
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
08/24/2026
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